Schizophrenia and anaesthesia

Lin, Constance Liew Sat; Lansing, Meryl Grace; Khor, Foo Kiang; Muniandy, Rajesh Kumar

doi:10.1136/bcr-2017-221659

Cited by 10 publications

(9 citation statements)

References 27 publications

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“…All volatile agents are safe. However, enflurane, an older agent, carries a higher risk for hypotension, arrhythmia and seizure ( 26 , 27 ). Anesthesia can be maintained with either volatile agents or total intravenous techniques ( 15 ).…”

Section: General Anesthesiamentioning

confidence: 99%

“…Ondansetron can prolong QT interval, while metoclopramide can have extra-pyramidal side effects ( 26 , 31 ). These antiemetic agents should be administered with caution in schizophrenic patients as they may potentiate certain side effects of antipsychotic medications.…”

Section: Intraoperative Problems and Managementmentioning

confidence: 99%

“…Postoperative confusion is significantly higher in schizophrenic patients and is likely related to the hypersecretion of cortisol, adrenaline and noradrenaline ( 40 , 41 ). Other postoperative problems have been reported in patients with schizophrenia undergoing non-ophthalmic surgery, including (I) paralytic ileus after major surgery ( 7 , 30 ), (II) pain as a risk factor for postoperative confusion ( 26 ), (III) impaired lung function, COPD and chronic bronchitis resulting in increased risk for postoperative pneumonia ( 42 ), and (IV) sudden death secondary to cardiac arrhythmias, which is five times more common in schizophrenic patients ( 43 ). We were unable to find any published reports to support that these postoperative complications also occur following GA in schizophrenic patients undergoing cataract surgery.…”

Section: Postoperative Considerationsmentioning

confidence: 99%

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Anesthesia Considerations for Cataract Surgery in Patients with Schizophrenia: A Narrative Review

et al. 2021

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: Schizophrenia is ranked among the top 10 global burdens of disease. About 1% of people meet the diagnostic criteria for this disorder over their lifetime. Schizophrenic patients can develop cataract, particularly related to age and medications, requiring surgery and anesthesia. Many concerning factors, including cognitive function, anxiety, behavioral issues, poor cooperation and paroxysmal movements, may lead to general anesthesia as the default method. Antipsychotic agents should be continued during the perioperative period if possible. Topical/regional anesthesia is suitable in most schizophrenic patients undergoing cataract surgery. It reduces potential drug interactions and many postoperative complications; however, appropriate patient selection is paramount to its success. General anesthesia remains the primary technique for patients who are considered unsuitable for the topical/regional technique. Early involvement of a psychiatrist in the perioperative period, especially for patients requiring general anesthesia, is beneficial but often under-utilized. This narrative review summarizes the anesthetic considerations for cataract surgery in patients with schizophrenia.

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Section: General Anesthesiamentioning

confidence: 99%

Section: Intraoperative Problems and Managementmentioning

confidence: 99%

Section: Postoperative Considerationsmentioning

confidence: 99%

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Anesthesia Considerations for Cataract Surgery in Patients with Schizophrenia: A Narrative Review

et al. 2021

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“…Post-operative delirium is common in older patients after anesthesia [25]. This effect should be considered carefully for even young or adult patients if they have a neuropsychiatric disorder like schizophrenia [26]. Furthermore, if these older patients are also suffering from neurological diseases, such as Alzheirmer's disease or Parkinson's disease, then the effects of the same drug will be different than they are for healthy adult patients [27].…”

Section: Discussionmentioning

confidence: 99%

Identifying a Personalized Anesthetic with Fuzzy PROMETHEE

Ozsahin

2020

Healthc Inform Res

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The general anesthetic effect, ideally, produces a loss of all sensations, including analgesia and muscle relaxation. The characteristics of an ideal anesthetic agent include rapid and pleasant induction and recovery, adequate potency and muscle relaxation, and a wide margin of safety. Moreover, it should have no toxicity or reactivity issues, and it should not cause any adverse side effects [1]. However, currently no drugs can fulfill all the requirements because the choice depends on the type and duration of the operation; the method of anesthetic administration, such as intravenous injection or inhalation; side effects; cost; and patient characteristics,

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“…Schizophrenic patients likewise have a debilitated reaction to stretch, and that expands the danger for constant clinical ailments like cardiovascular, respiratory and endocrine illnesses. 2 Patients with schizophrenia were known to have a higher risk of complications during hospitalization.…”

Section: Introductionmentioning

confidence: 99%

The Outcomes of Patients with Mental Illness Undergoing Surgical Procedures

Firyal¹

2021

OAIJMR

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Mental illness influences 3 % of the populace and incorporates handicapping types of despondency and uneasiness, just as maniacal issues, for example, bipolar and schizophrenia. Patients with schizophrenia were known to have a higher risk of complications during hospitalization. Quality of care has become the key factor in reducing their potential mortality afterwards. Patients with SMI were substantially less liable to have significant medical procedure, in the wake of controlling for age, other segment measures, and illness trouble. For patients of a similar age, sex, race and comorbidity status, having a previous genuine psychological instability passed on a significantly diminished probability of careful mediation. Clinical and careful hospitalizations for people with schizophrenia had in some measure double the chances of a few kinds of unfriendly occasions than those for people without schizophrenia. These antagonistic occasions were related with poor clinical and financial results during the emergency clinic confirmation. Endeavors to decrease these unfriendly occasions should turn into an examination need.

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Schizophrenia and anaesthesia

Cited by 10 publications

References 27 publications

Anesthesia Considerations for Cataract Surgery in Patients with Schizophrenia: A Narrative Review

Anesthesia Considerations for Cataract Surgery in Patients with Schizophrenia: A Narrative Review

Identifying a Personalized Anesthetic with Fuzzy PROMETHEE

The Outcomes of Patients with Mental Illness Undergoing Surgical Procedures

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